Sarah

Sarah Lesko

Licensed Marriage and Family Therapist

As an Attachment-Focused Therapist, I work best with people who want to address relational issues. Many of my clients are working on their own mental health needs that come up while they are living life in the ups and downs of parenting, managing many competing demands. Reach out for a free consult.

About Me

As an Attachment-Focused Therapist, I guide individuals and parents through relational challenges. We explore how past experiences shape your current connections. This is especially helpful amidst the daily demands of life and parenting. I offer a space to make sense of relational patterns and strengthen your mental wellbeing. This approach suits those ready to transform how they connect with others and themselves.

Approach

When patterns from your past show up in everyday parenting and stress, I help you notice specific moments—what triggers you, how you respond, and what you’d like to try instead. Sessions feel focused and practical: we track interactions, try small in-session experiments (including brief role work or play when helpful), and set gentle between-session practices to carry change into family life. I work online from El Dorado Hills in English, keeping pace steady and collaborative. This fits people ready for clear, usable shifts in how they relate.
Contact Sarah

Ask a quick question or arrange a time to meet.

Basic Information

Services


Services Offered:

  • Free Consultation

    A no-cost initial session to meet the therapist, discuss needs, and decide whether they are the right fit before committing.

  • Relationship Counseling

    Counselling for couples or partners focused on improving communication, rebuilding trust, and strengthening emotional connection.

  • Parenting Support

    Guidance for the psychological challenges of raising children, including discipline, communication, co-parenting, and managing the emotional demands of parenthood.

  • Play Therapy

    A therapy for children that uses play as a natural form of communication, allowing them to express feelings and process difficult experiences.

    Learn more about Play Therapy
  • Psychotherapy

    In-depth therapeutic work that explores patterns in thoughts, emotions, and relationships to produce lasting psychological change.

    Learn more about Psychotherapy
  • Family Therapy

    A form of therapy that works with family members together to improve communication, resolve conflict, and strengthen relationships within the family system.

    Learn more about Family Therapy

Works With:

  • Adults
  • Couples
  • Families
  • Individuals

Area of Expertise


Scope of Practice:

  • Life Transitions

    Major life changes, such as relocation, retirement, parenthood, or career shifts, that disrupt routine and require psychological adjustment.

    Learn more about Life Transitions
  • Relationship Issues

    Difficulties in romantic relationships, including communication problems, trust breakdowns, conflict patterns, or uncertainty about the relationship's future.

    Learn more about Relationship Issues
  • Postnatal or Perinatal Depression

    Depression occurring during pregnancy or in the months following childbirth, affecting mood, energy, bonding with the baby, and daily functioning.

    Learn more about Postnatal or Perinatal Depression
  • Stress / Burnout

    The body and mind's response to prolonged or excessive demands. When sustained, it can lead to emotional exhaustion, detachment, and reduced functioning (burnout).

    Learn more about Stress / Burnout
  • Family Issues

    Difficulties within the family system, including conflict, communication breakdown, blended family tensions, or intergenerational patterns, that affect individual and collective well-being.

  • Identity Issues

    A person's sense of who they are, including their values, beliefs, roles, and self-perception, and the distress that arises when this sense is unclear, fragmented, or negative.

  • Parenting Support

    Guidance for the psychological challenges of raising children, including discipline, communication, co-parenting, and managing the emotional demands of parenthood.

  • Abuse

    Emotional, physical, or sexual mistreatment by another person that causes lasting psychological harm and disrupts a person's sense of safety.

Professional Title:

  • Licensed Marriage and Family Therapist

    A therapist licensed to work with couples and families on relationship difficulties, communication, and family dynamics.

Qualifications


University of San Francisco

University of Santa Barbara

Registrations


Board of Behavioral Sciences (BBS)

LMFT

Service Area


Sarah Lesko, LMFT

In-person & Online

El Dorado Hills, California

United States